Neuropathy
Back Clinic Neuropathy Kurapa Chikwata. Peripheral neuropathy inokonzerwa nekukuvadzwa kwetsinga dzeparipheral. Izvi zvinowanzokonzera kupera simba, chiveve, uye kurwadziwa, kazhinji mumaoko netsoka. Inogonawo kukanganisa dzimwe nzvimbo dzemuviri wako. Iyo yeperipheral nervous system inotumira ruzivo kubva kuhuropi uye musana (central nervous system) kumuviri. Inogona kubva mukukuvara kwekukuvara, hutachiona, matambudziko emetabolism, zvakagarwa nhaka, uye kuratidzwa kune chepfu. Chimwe chezvikonzero zvinowanzoitika chirwere cheshuga mellitus.
Vanhu vanowanzotsanangura marwadzo acho sekubaya, kupisa, kana kurira. Zviratidzo zvinogona kuvandudzwa, kunyanya kana zvichikonzerwa nechirwere chinorapika. Mishonga inogona kuderedza kurwadziwa kweperipheral neuropathy. Inogona kukanganisa tsinga imwe (mononeuropathy), tsinga mbiri kana kupfuura munzvimbo dzakasiyana (multiple mononeuropathies), kana tsinga dzakawanda (polyneuropathy). Carpal tunnel syndrome muenzaniso we mononeuropathy. Vanhu vazhinji vane peripheral neuropathy vane polyneuropathy. Tsvaka rubatsiro rwechiremba pakarepo kana pane zvisingawanzo kurira, kushaya simba, kana kurwadziwa mumaoko ako kana tsoka. Kukurumidza kuongororwa uye kurapwa kunopa mukana wakanakisa wekudzora zviratidzo zvako uye kudzivirira kumwe kukuvadzwa kune peripheral nerves. Testimonies http://bit.ly/elpasoneuropathy
General Disclaimer *
Ruzivo rwuri pano haruna kuitirwa kutsiva hukama hwemunhu-pamwe nenyanzvi yezvehutano ane hunyanzvi kana chiremba ane rezinesi uye harisi zano rekurapa. Tinokukurudzira kuti uzviitire sarudzo dzehutano maererano netsvagiridzo yako uye kudyidzana nenyanzvi yezvehutano inokwanisa. Ruzivo rwedu ruzivo rwakagumira kuchiropractic, musculoskeletal, mishonga yemuviri, hutano, nyaya dzehutano dzakasimba, zvinyorwa zvemishonga zvinoshanda, misoro, uye nhaurirano. Isu tinopa uye tinopa kushandira pamwe kwekiriniki nenyanzvi kubva kwakasiyana siyana yezvirango. Imwe neimwe nyanzvi inotongwa nehunyanzvi hwavo chiyero chekudzidzira uye kutonga kwavo kwerezinesi. Isu tinoshandisa inoshanda hutano & hutano mapuroteni kurapa uye kutsigira kuchengetedza kwekukuvadzwa kana kusagadzikana kwemusculoskeletal system. Mavhidhiyo edu, zvinotumirwa, misoro, zvidzidzo, uye ruzivo rwunobata nyaya dzekiriniki, nyaya, uye misoro inechekuita nerutsigiro, zvakananga kana zvisina kunanga, mamiriro edu ekurapa. Hofisi yedu yaedza zvine musoro kupa magwaro anotsigira uye yakaona. chidzidzo chetsvakiridzo chakakodzera kana zvidzidzo zvinotsigira zvatakatumira. Isu tinopa makopi ekutsigira zvidzidzo zvekutsvagisa anowanikwa kumabhodhi ekutonga uye neruzhinji pakukumbira.
Isu tinonzwisisa kuti tinofukidza zvinhu zvinoda imwe tsananguro yekuti ingabatsire sei mune imwe chirongwa chekutarisira kana yekurapa protocol; Naizvozvo, kuti uenderere mberi nekukurukura nyaya iri pamusoro, ndapota inzwa wakasununguka kubvunza Dr. Alex Jimenez kana taura nesu isu 915-850-0900 .
Dr. Alex Jimenez DC, Msacp , CCST , IFMCP *, CIFM *, atn *
email: qeqeshi@elpasofunctionalmedicine.com
Inobvumirwa mu: Texas & New Mexico *
by Dr Alex Jimenez Hip Pain & Dambudziko , Neuropathy
Kune vanhu vari kunzwa kurwadziwa kwepelvic, inogona kunge iri kusagadzikana kwepudendal nerve inozivikanwa se pudendal neuropathy kana neuralgia inotungamirira kumarwadzo asingagumi. Mamiriro acho anogona kukonzerwa nepudendal nerve entrapment, uko nerve inomanikidzwa kana kukuvadzwa. Kuziva zviratidzo kungabatsira here varapi vehutano kunyatsoongorora mamiriro acho uye kugadzira chirongwa chekurapa chinoshanda?
Pudendal Neuropathy
Iyo pudendal nerve ndiyo tsinga huru inoshandira perineum, iyo inzvimbo iri pakati pe anus ne genitalia - scrotum muvarume uye vulva muvakadzi. Iyo pudendal nerve inomhanya nepakati pe gluteus tsandanyama / matako uye ichipinda mu perineum. Inotakura ruzivo rwekunzwa kubva kune ekunze genitalia uye ganda rakatenderedza anus uye perineum uye inotumira mota / mafambiro masaini kune akasiyana mhasuru dzepelvic. (Origoni, M. et al., 2014 ) Pudendal neuralgia, inonziwo pudendal neuropathy, chirwere chepudendal nerve chinogona kutungamirira kumarwadzo asingagumi epelvic.
Zvinokonzera
Kurwara kwepelvic kusingagumi kubva pudendal neuropathy kunogona kukonzerwa nechero ipi inotevera (Kaur J. et al., 2024 )
Kunyanya kugara panzvimbo dzakaoma, zvigaro, zvigaro zvebhasikoro, nezvimwewo. Vatyairi vemabhasikoro vanowanzoita pudendal nerve entrapment.
Trauma kumagaro kana pelvis.
Kuberekwa.
Diabetes neuropathy.
Maumbirwo emapfupa anosundidzira tsinga dzepudendal.
Kukobvura kwemarunda akapoteredza pudendal nerve.
zviratidzo
Pudendal nerve pain inogona kurondedzerwa sekubaya, kupwanya, kupisa, kusanzwa, kana mapini netsono uye inogona kupa (Kaur J. et al., 2024 )
Mu perineum.
Munzvimbo yekumashure.
Muvarume, kurwadziwa muscrotum kana peni.
Muvakadzi, kurwadziwa mu labia kana vulva.
Panguva yebonde.
Pakuita weti.
Panguva yekufamba ura.
Pakugara nekuenda mushure mekusimuka.
Nemhaka yokuti zviratidzo zvinowanzooma kusiyanisa, pudendal neuropathy inogona kuoma kusiyanisa kubva kune mamwe marudzi ekurwadziwa kwepelvic kusingaperi.
Cyclist's Syndrome
Kugara kwenguva refu pachigaro chebhasikoro kunogona kukonzera pelvic nerve compression, izvo zvinogona kutungamirira kumarwadzo asingagumi epelvic. Kuwanda kwepudendal neuropathy (kurwadza kwepelvic kusingaperi kunokonzerwa nekupinda kana kumanikidzika kwepudendal nerve) inowanzonzi Cyclist's Syndrome. Kugara pane zvimwe zvigaro zvebhasikoro kwenguva refu kunoisa dzvinyiriro huru pane pudendal nerve. Kudzvinyirira kunogona kukonzera kuzvimba kwakatenderedza tsinga, izvo zvinokonzeresa marwadzo uye, nekufamba kwenguva, zvinogona kutungamirira kune nerve trauma. Kudzvinyirirwa kwetsinga uye kuzvimba kunogona kukonzera marwadzo anotsanangurwa sekupisa, kuruma, kana mapini netsono. (Durante, JA, uye Macintyre, IG 2010 ) Kune vanhu vane pudendal neuropathy inokonzerwa nekuchovha bhasikoro, zviratidzo zvinogona kuoneka mushure mekuchovha bhasikoro kwenguva refu uye dzimwe nguva mwedzi kana makore gare gare.
Cyclist's Syndrome Prevention
Ongororo yezvidzidzo yakapa mazano anotevera ekudzivirira Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Zorora
Tora kuzorora zvishoma 20-30 masekonzi mushure memaminitsi makumi maviri ega ega ekutasva.
Paunenge uchikwira, shandura nzvimbo kakawanda.
Simuka kutsika nguva nenguva.
Tora nguva yekuzorora pakati pezvikamu zvekutasva uye mijaho yekuzorora uye kuzorodza pelvic nerve. Kuzorora kwemazuva 3-10 kunogona kubatsira mukupora. (Durante, JA, uye Macintyre, IG 2010 )
Kana zviratidzo zvekurwadziwa kwepelvic zvisati zvatanga kukura, zorora uye ona mutapi wehutano kana nyanzvi kuti aongororwe.
chigaro
Shandisa chigaro chakapfava, chakafara nemhuno pfupi.
Iva nenzvimbo yechigaro kana kurerekera kumberi zvishoma.
Zvigaro zvine maburi ekucheka zvinoisa zvakanyanya kumanikidza pane perineum.
Kana chiveve kana kurwadziwa kuripo, edza chigaro chisina maburi.
Bike Fitting
Rongedza hurefu hwechigaro kuitira kuti ibvi rakakotama zvishoma pazasi pedeal stroke.
Huremu hwemuviri hunofanira kugara pamapfupa akagara/ischial tuberosities.
Kuchengeta mubato kureba pasi pechigaro kunogona kuderedza kudzvanywa.
Iyo Triathlon bhasikoro yakanyanyisa-mberi chinzvimbo inofanira kudzivirirwa.
Kuwedzera kurongeka kuri nani.
Mabhasikoro emakomo akave akabatanidzwa nehuwandu hwengozi ye erectile dysfunction kupfuura mabhasikoro emugwagwa.
zvikabudura
Pfeka zvikabudura zvebhasikoro.
Mishonga
Mutariri wehutano anogona kushandisa musanganiswa wekurapa.
Iyo neuropathy inogona kurapwa nekuzorora kana chikonzero chakanyanya kugara kana kuchovha bhasikoro.
Pelvic floor physical therapy inogona kubatsira kuzorora uye kurebesa tsandanyama.Zvirongwa zvekuvandudza muviri, kusanganisira kutambanudza uye kurovedza muviri kwakanangwa, zvinogona kusunungura tsinga.
Chiropractic kugadzirisa kunogona kugadzirisa musana uye pelvis.
Iyo inoshanda yekuburitsa tekinoroji / ART inosanganisira kushandisa kumanikidza kune tsandanyama munzvimbo iyi uchitambanudza uye uchisimbisa. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Nerve blocks inogona kubatsira kubvisa marwadzo anokonzerwa netsinga entrapment. (Kaur J. et al., 2024 )
Zvimwe zvinozorodza tsandanyama, antidepressants, uye anticonvulsants zvinogona kurairwa, dzimwe nguva pamwe chete.
Kuvhiyiwa kwetsinga kunogona kukurudzirwa kana mishonga yose inochengetedza yakapera. (Durante, JA, uye Macintyre, IG 2010 )
Injury Medical Chiropractic uye Functional Medicine Clinic zvirongwa zvekutarisira uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness uye kudya kunovaka muviri, Kurwara Kusingaperi, Kukuvara Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwemusana, Kurwadziwa Kwepashure, Kurwadziwa Kwemutsipa, Migraine Headaches, Kukuvara Kwemitambo, Yakaoma sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic. Marwadzo, Kukuvara Kwakaoma, Stress Management, uye Functional Medicine Kurapa. Kana munhu wacho achida kumwe kurapwa, achaendeswa kukiriniki kana chiremba anonyatsokodzera mamiriro avo ezvinhu, sezvo Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers.
Kubata uye Sciatica
VIDEO
References
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Neurobiological nzira dzekurwadziwa kwepelvic. BioMed tsvagiridzo yenyika, 2014, 903848. doi.org/10.1155/2014/903848
Kaur, J., Leslie, SW, & Singh, P. (2024). Pudendal Nerve Entrapment Syndrome. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/31334992
Durante, JA, & Macintyre, IG (2010). Pudendal nerve entrapment mune Ironman mutambi: nyaya yenyaya. The Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Kuongororwa, Kugadzirisa uye Kudzivirira Matanho ePudendal Neuropathy muCyclists, A Systematic Review. Nyaya yekushanda morphology uye kinesiology, 6 (2), 42. doi.org/10.3390/jfmk6020042
by Dr Alex Jimenez Mamiriro Ekutongwa , Neuropathy
Zvimwe zvirwere zvetsinga zvinogona kukonzera acute episodes of peripheral neuropathy, uye kune vanhu vanoonekwa kuti vane chirwere chisingaperi cheuropathy, chirwere chemuviri chinogona kubatsira kuvandudza kukwanisa kufamba zvakachengeteka pamwe chete nemishonga, maitiro, uye mararamiro ekugadzirisa kuti abatsire kudzora nekugadzirisa zviratidzo?
Peripheral Neuropathy Kurapa
Peripheral neuropathy kurapwa kunosanganisira zviratidzo zvekurapa uye manejimendi ekurapa kubatsira kudzivirira kuwedzera kukuvara kwetsinga.
Kune acute mhando dzeperipheral neuropathy, kupindira kwekurapa uye marapirwo anogona kurapa ari pasi pemaitiro, kugadzirisa mamiriro.
Kune zvisingaperi marudzi eperipheral neuropathy, kupindira kwekurapa uye mararamiro ehupenyu zvinogona kubatsira kudzivirira kufambira mberi kwemamiriro.
Chronic peripheral neuropathy kurapwa inotarisa pakudzora zviratidzo zvekurwadziwa uye kudzivirira nzvimbo dzekunzwa kuderera kubva mukukuvadzwa kana kutapukirwa.
Kuzvitarisira uye Kugadzirisa Mararamiro
Kune vanhu vakaonekwa kuti vane peripheral neuropathy kana kuti vari panjodzi yekuvandudza mamiriro acho, mararamiro anoita basa rakakosha mukugadzirisa zviratidzo uye kudzivirira kukuvara kwetsinga kubva pakuipa uye zvinogona kutodzivirira mamiriro acho kukura. (Jonathan Enders et al., 2023 )
Pain Management
Vanhu vanokwanisa kuedza marapirwo ekuzvitarisira aya voona kuti uye ndeapi anobatsira kuderedza kusagadzikana kwavo vobva vagadzira muitiro wavanogona kushanda nawo. Kuzvitarisira kwezviratidzo zvekurwadziwa kunosanganisira:
Kuisa pedhi yekudziya inodziya panzvimbo dzinorwadza.
Kuisa pedhi yekutonhora (kwete ice) panzvimbo dzinorwadza.
Kuvhara nzvimbo kana kuisiya isina kufukidzwa, zvichienderana nekunyaradza mazinga.
Pfeka mbatya dzisina kusimba, masokisi, shangu, uye/kana magirovhosi asina kugadzirwa nezvinhu zvinogona kukonzera kushatirwa.
Rega kushandisa mafuta ekuzora kana sipo zvinogona kukonzera kusvotwa.
Shandisa mafuta anozorodza kana lotions.
Kuchengeta nzvimbo dzinorwadza dzakachena.
Kudzivirira Kukuvara
Kunzwa kuderera ndeimwe yeanowanzo mhedzisiro inogona kutungamirira kumatambudziko akaita sekugumburwa, kunetseka kutenderera, uye kukuvara. Kudzivirira uye kugara uchitarisa kukuvara kunogona kubatsira kudzivirira matambudziko senge maronda ane hutachiona. (Nadja Klafke et al., 2023 ) Kugadziriswa kwehupenyu hwekugadzirisa nekudzivirira kukuvara kunosanganisira:
Pfeka bhutsu dzakakwenenzverwa uye masokisi.
Ongorora tsoka, zvigunwe, zvigunwe, uye maoko nguva nenguva kuti utarise mavanga kana mavanga asina kumbonzwa.
Kuchenesa uye kuvhara macheka kudzivirira zvirwere.
Chenjerera zvakanyanya nemidziyo inopinza senge yekubikira nebasa kana maturusi ekurima.
Kutarisira Zvirwere
Mararamiro ehupenyu anogona kubatsira kudzivirira kufambira mberi kwechirwere uye anonyatso kuenderana nenjodzi uye zvinokonzeresa. Kubatsira kudzivirira peripheral neuropathy kana kufambira mberi kwayo kunogona kuitwa ne: (Jonathan Enders et al., 2023 )
Chengetedza hutano hwakanaka hweglucose kana uine chirwere cheshuga.
Dzivisa doro kune chero peripheral neuropathy.
Chengetedza kudya kwakakwana, izvo zvinogona kusanganisira mavitamini ekuwedzera, kunyanya kune vanodya miriwo kana vegans.
Over-the-Counter Therapies
Mishonga shomanana yemishonga inogona kubatsira nezviratidzo zvinorwadza uye inogona kutorwa sezvinodiwa. Over-the-counter pain therapies inosanganisira: (Michael Überall et al., 2022 )
Topical lidocaine spray, chigamba, kana makirimu.
Capsaicin creams kana zvigamba.
Topical Icy Hot
Non-steroidal anti-inflammatory medication - Advil/ibuprofen kana Aleve/naproxen
Tylenol/acetaminophen
Mishonga iyi inogona kubatsira kubvisa zviratidzo zvinorwadza zveperipheral neuropathy, asi hazvibatsire kuvandudza kuderera kwekunzwa, kushaya simba, kana kurongeka kwematambudziko. (Jonathan Enders et al., 2023 )
Prescription Therapies
Mishonga yekurapa yekurapa peripheral neuropathy inosanganisira mishonga yemarwadzo uye anti-inflammatories. Mhando dzisingaperi dzeperipheral neuropathy dzinosanganisira:
Doro neuropathy
Diabetes neuropathy
Chemotherapy-induced neuropathy
Mishonga yemishonga yemhando dzisingaperi inosiyana nekurapa kweacute mhando dzeperipheral neuropathy.
Pain Management
Mishonga yemishonga inogona kubatsira kugadzirisa marwadzo uye kusagadzikana. Mishonga inosanganisira (Michael Überall et al., 2022 )
Lyrica - pregabalin
Neurontin - gabapentin
Elavil - amitriptyline
Effexor - venlafaxine
Cymbalta - duloxetine
Muzviitiko zvakakomba, intravenous/IV lidocaine inogona kudikanwa. (Sanja Horvat et al., 2022 )
Dzimwe nguva, mushonga wekuwedzera simba kana vhitamini B12 inopiwa kuburikidza nejekiseni inogona kubatsira kudzivirira kufambira mberi apo peripheral neuropathy inobatanidzwa nekushayikwa kwakanyanya kwevhitamini. Mishonga yekurapa inogona kubatsira kubata maitiro ari pasi pemamwe marudzi eacute peripheral neuropathy. Kurapa kweacute peripheral neuropathy, senge Miller-Fisher syndrome kana Guillain-Barré syndrome, inogona kusanganisira:
Corticosteroids
Immunoglobulins - immune system mapuroteni
Plasmapheresis inzira inobvisa chikamu chemvura yeropa, ichidzosa masero eropa, ayo anogadzirisa kuwanda kwesimba remuviri. (Sanja Horvat et al., 2022 )
Vatsvagiri vanotenda kuti pane hukama pakati pemamiriro aya uye kuzvimba nerve kukuvara , uye kushandura immune system kunobatsira pakurapa zviratidzo uye chirwere chiripo.
Surgery
Mune zvimwe zviitiko, maitiro ekuvhiya anogona kubatsira vanhu vane mamwe marudzi eperipheral neuropathy. Kana imwe mamiriro ari kuwedzera zviratidzo kana nzira yeperipheral neuropathy, kuvhiyiwa kunogona kubatsira kubvisa zviratidzo uye kudzivirira kufambira mberi kwechirwere. Izvi zvakaratidza kushanda kana tsinga dzakasungwa kana vascular insufficiency zviri zvinhu. (Wenqiang Yang et al., 2016 )
Anowirirana uye Anotsiva Mushonga
Dzimwe nzira dzinopindirana uye dzimwe nzira dzinogona kubatsira vanhu kurarama nemarwadzo uye kusagadzikana. Mishonga iyi inogona kushanda senzira inoenderera kune avo vane chronic peripheral neuropathy. Sarudzo dzinogona kusanganisira: (Nadja Klafke et al., 2023 )
Acupuncture inosanganisira kuiswa kwetsono munzvimbo dzakananga dzemuviri kubatsira kuderedza zviratidzo zvemarwadzo.
Acupressure inosanganisira kushandisa kumanikidza kune dzimwe nzvimbo dzemuviri kubatsira kuderedza zviratidzo zvinorwadza.
Massage therapy inogona kubatsira kuzorodza tsandanyama.
Kufungisisa uye kurapwa kwekuzorora kunogona kubatsira kubata zviratidzo.
Kurapa kwepanyama kunogonawo kushanda sechikamu chakakosha chekurarama nekusingaperi peripheral neuropathy uye kupora kubva kune acute peripheral neuropathy.
Kurapa kwepanyama kunogona kubatsira kusimbisa mhasuru dzisina kusimba, kuvandudza kurongeka, uye kudzidza maitiro ekuchinja kune kunzwa uye mota shanduko kuti ufambe zvakachengeteka.
Vanhu vari kufunga nezvekuwedzera kana kumwe kurapwa vanokurudzirwa kuti vataure nevanovapa vekutanga vehutano kuti vaone kana kwakachengeteka kumamiriro avo. Injury Medical Chiropractic uye Functional Medicine Clinic ichashanda nemupi wehutano hwemunhu uye / kana nyanzvi kugadzira hutano hwakakwana uye hutano hwekugadzirisa mhinduro yekupa marwadzo nekuvandudza hupenyu.
Peripheral Neuropathy: Yakabudirira Kudzoreredza Nyaya
VIDEO
References
Enders, J., Elliott, D., & Wright, DE (2023). Emerging Nonpharmacologic Interventions Kurapa Diabetic Peripheral Neuropathy. Antioxidants & redox kusaina, 38 (13-15), 989-1000. doi.org/10.1089/ars.2022.0158
Klafke, N., Bossert, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , ... Stolz, R. (2023). Kudzivirira uye Kurapa kweChemotherapy-Induced Peripheral Neuropathy (CIPN) neNon-Pharmacological Interventions: Clinical Recommendations kubva kuSystematic Scoping Review uye Nyanzvi Yekubvumirana. Sainzi dzekurapa (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015
Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Inorwadza chirwere cheshuga peripheral neuropathy: chaiyo-nyika kuenzanisa pakati pekurapwa kwepamusoro ne lidocaine 700 mg medicated plaster uye nemuromo kurapwa. BMJ yakavhura tsvagiridzo yechirwere cheshuga & nehanya, 10 (6), e003062. doi.org/10.1136/bmjdrc-2022-003062
Horvat, S., Staffhorst, B., & Cobben, JMG (2022). Intravenous Lidocaine Yekurapa Kwekurwara Kusingaperi: A Retrospective Cohort Study. Nyaya yekutsvakurudza kurwadziwa, 15, 3459-3467. doi.org/10.2147/JPR.S379208
Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Kunyaradza Kurwadziwa uye Utano Hunoenderana Nehutano-hwe-Hupenyu Kuvandudza Mushure meMicrosurgical Decompression yeEntrapped Peripheral Nerves muVarwere Vane Painful Diabetic Peripheral Neuropathy. Iyo Journal yekuvhiya tsoka uye ankle: kuburitswa kwepamutemo kweAmerican College of Foot uye Ankle Surgeons, 55 (6), 1185-1189. doi.org/10.1053/j.jfas.2016.07.004
by Dr Alex Jimenez Nerve Injury , Neuropathy
Kune vanhu vari kubata nekurwadziwa kusingaperi, kuitisa nerve block process kunobatsira kuderedza uye kugadzirisa zviratidzo?
Tsinga Zvidhinha
Nerve block inzira inoitwa kukanganisa/kuvharisa masaini ekurwadziwa nekuda kwekusashanda zvakanaka kwetsinga kana kukuvara. Inogona kushandiswa pakuongorora kana kurapwa, uye mhedzisiro yavo inogona kuva pfupi kana kwenguva refu, zvichienderana nerudzi rwuri kushandiswa.
A temporary nerve block zvinogona kusanganisira kushandiswa kana jekiseni rinomisa zviratidzo zvekurwadziwa kubva pakutapurira kwenguva pfupi.
Semuenzaniso, pakuzvitakura, jekiseni re epidural rinogona kushandiswa panguva yekuzvara uye pakusununguka.
Permanent nerve blocks zvinosanganisira kucheka / kucheka kana kubvisa zvimwe zvikamu zvetsinga kumisa zviratidzo zvinorwadza.Izvi zvinoshandiswa mumatambudziko ane kukuvara kwakanyanya kana mamwe mamiriro ekurwadziwa asingagumi asina kuvandudzwa nedzimwe nzira dzekurapa.
Kushandiswa Kwekurapa
Kana vatapi vehutano vakaongorora chirwere chisingaperi chinokonzerwa nekukuvara kwetsinga kana kusashanda zvakanaka, vanogona kushandisa nerve block kuti vawane nzvimbo inogadzira zviratidzo zvinorwadza. Vanogona kuita electromyography uye/kana a nerve conduction velocity / NCV bvunzo kuratidza chikonzero chekusingaperi marwadzo etsinga. Nerve blocks inogona zvakare kurapa kusingaperi neuropathic kurwadziwa, sekurwadziwa kunokonzerwa nekukuvara kwetsinga kana kudzvanywa. Nerve blocks inogara ichishandiswa kurapa musana uye kurwadziwa kwemutsipa kunokonzerwa ne herniated discs kana spinal stenosis. (Johns Hopkins Mushonga. 2024 )
Types
Mhando nhatu dzinosanganisira:
Local
Neurolytic
Kugadzirwa
Zvose zvitatu zvinogona kushandiswa kumamiriro ezvinhu anokonzera kurwadziwa kusingaperi. Nekudaro, zvivharo zveurolytic uye zvekuvhiya ndezvechigarire uye zvinongo shandiswa pakurwadziwa kwakanyanya kwakawedzera nekumwe marapirwo asingakwanise kupa zororo.
Temporary Blocks
Chivharo chemunharaunda chinoitwa nekubaya kana kushandisa anesthetics emunharaunda, senge lidocaine, kune imwe nzvimbo.
An epidural is a local nerve block iyo inopinza steroids kana analgesics munzvimbo yakatenderedza musana.
Izvi zvinowanzoitika panguva yekuzvitakura, yekusununguka, uye yekusununguka.
Epidurals inogonawo kushandiswa kurapa mutsipa usingaperi kana kurwadziwa shure nekuda kwekumanikidzwa kwetsinga yemuzongoza.
Zvivharo zvemunharaunda zvinowanzova zvenguva pfupi, asi muchirongwa chekurapa, zvinogona kudzokororwa nekufamba kwenguva kuti zvigadzirise kurwadziwa kusingaperi kubva mumamiriro akaita seArthritis, sciatica, uye migraines. (NYU Langone Health. 2023 )
Permanent Blocks
A neurolytic block inoshandisa doro, phenol, kana thermal agents kurapa marwadzo etsinga asingaperi. (National Institute of Neurological Disorders uye Stroke. 2023 ) Maitiro aya anokuvadza dzimwe nzvimbo dzetsinga nzira nemaune kuitira kuti zviratidzo zvekurwadziwa zvisafambiswe. A neurolytic block inonyanya kushandiswa kune akanyanya kurwadziwa asingaperi kesi, sekurwadziwa kubva kugomarara kana yakaoma region pain syndrome/CRPS. Dzimwe nguva dzinoshandiswa kurapa kurwadziwa kunoramba kuripo kubva kukusingaperi kwepancreatitis uye kurwadziwa mumadziro echipfuva mushure mekuvhiyiwa. (Johns Hopkins Mushonga. 2024 ) (Alberto M. Cappellari et al., 2018 )
Iyo neurosurgeon inoita yekuvhiya nerve block iyo inosanganisira kuvhiya kubvisa kana kukuvadza nzvimbo dzakanangana dzetsinga. (National Institute of Neurological Disorders uye Stroke. 2023 ) Kuvhiya tsinga block inongoshandiswa kune zvakanyanya kurwadziwa kesi, sekurwadziwa kwekenza kana trigeminal neuralgia.
Kunyangwe neurolytic uye yekuvhiya nerve blocks ari maitiro echigarire, zviratidzo zvekurwadziwa, uye manzwiro anogona kudzoka kana tsinga dzikakwanisa kukura nekuzvigadzirisa. (Eun Ji Choi et al., 2016 ) Zvisinei, zviratidzo uye manzwiro zvinogona kusadzoka mwedzi kana makore mushure mekuvhiyiwa.
Nzvimbo dzakasiyana dzeMuviri
Inogona kupihwa munzvimbo zhinji dzemuviri, kusanganisira: (Hospital for Special Surgery. 2023 ) (Stanford Medicine. 2024 )
Scalp
uso
Neck
Collarbone
pamafudzi
maoko
shure
bhokisi
Ribcage
Madzi
Pelvis
magaro
makumbo
Ankle
Feet
Migumisiro Yechiri
Aya maitiro anogona kuve nenjodzi inogona kuitika yekusingaperi kukuvara kwetsinga. (Anthem BlueCross. 2023 ) Tsinga dzinonzwa uye dzinoita patsva zvishoma nezvishoma, saka kukanganisa kudiki kunogona kukonzera mhedzisiro. (D O'Flaherty et al., 2018 ) Zvinowanzoitika zvinosanganisira:
Kuoma mitezo
Kushaya simba
Kugaronzwa chiveve
Muzviitiko zvisingawanzoitiki, iyo block inogona kutsamwisa nerve uye kukonzera kuwedzera kurwadziwa.
Varapi vehutano vane hunyanzvi uye vane marezinesi vakaita savanachiremba vekuvhiya, varapi vekudzora marwadzo, anesthesiologists, uye vanachiremba vemazino vanodzidziswa kuita maitiro aya nemazvo.
Kune nguva dzose njodzi yekukuvadzwa kwetsinga kana kukuvara, asi ruzhinji rwetsinga dzinovhara zvakachengeteka uye zvinobudirira kudzikira uye kubatsira kubata marwadzo asingaperi. (Anthem BlueCross. 2023 )
Zvaunotarisira
Vanhu vanogona kunzwa chiveve kana kuvava uye/kana kucherechedza kutsvuka kana kushatirwa pedyo kana kutenderedza nzvimbo yenguva pfupi.
Ikoko kunogonawo kuve nekuzvimba, izvo zvinomanikidza tsinga uye zvinoda nguva yekuvandudza. (Stanford Medicine. 2024 )
Vanhu vanogona kukumbirwa kuti vazorore kwenguva yakati mushure mekuita.
Zvichienderana nerudzi rwemaitirwo acho, vanhu vangafanira kupedza mazuva mashoma vari muchipatara.
Mamwe marwadzo anogona kunge achiripo, asi hazvirevi kuti nzira yacho haina kushanda.
Vanhu vanofanirwa kubvunzana nevarapi vehutano nezve njodzi uye mabhenefiti kuti vaone kuti ichokwadi mabatiro .
Sciatica, Zvinokonzera, Zviratidzo, uye Mazano
VIDEO
References
Johns Hopkins Mushonga. (2024). Nerve blocks. (Utano, Nyaya. www.hopkinsmedicine.org/health/conditions-and-diseases/nerve-blocks
NYU Langone Health. (2023). Nerve block yemigraine (Dzidzo uye Tsvagiridzo, Nyaya. nyulangone.org/conditions/migraine/treatments/nerve-block-for-migraine
National Institute of Neurological Disorders uye Stroke. (2023). Marwadzo. Zvakatorwa kubva www.ninds.nih.gov/health-information/disorders/pain#3084_9
Johns Hopkins Mushonga. (2024). Chronic pancreatitis kurapwa (Hutano, Nyaya. www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-pancreatitis/chronic-pancreatitis-treatment
Cappellari, AM, Tiberio, F., Alicandro, G., Spagnoli, D., & Grimoldi, N. (2018). Intercostal Neurolysis yeKurapwa kwePostsurgical Thoracic Pain: Nyaya Yenyaya. Tsandanyama & tsinga, 58 (5), 671-675. doi.org/10.1002/mus.26298
Choi, EJ, Choi, YM, Jang, EJ, Kim, JY, Kim, TK, & Kim, KH (2016). Neural Ablation uye Kuberekwazve muPain Practice. Magazini yeKorea yemarwadzo, 29 (1), 3-11. doi.org/10.3344/kjp.2016.29.1.3
Hospital for Special Surgery. (2023). Regional anesthesia. www.hss.edu/condition-list_regional-anesthesia.asp
Stanford Medicine. (2024). Mhando dze nerve blocks (Kune Varwere, Nyaya. med.stanford.edu/ra-apm/for-patients/nerve-block-types.html
Anthem BlueCross. (2023). Peripheral nerve blocks yekurapa marwadzo neuropathic. (Medical Policy, nyaya. www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_c181196.html
O'Flaherty, D., McCartney, CJL, & Ng, SC (2018). Kukuvadzwa kwetsinga mushure meperipheral nerve blockade-yazvino kunzwisisa uye nhungamiro. BJA dzidzo, 18(12), 384–390. doi.org/10.1016/j.bjae.2018.09.004
Stanford Medicine. (2024). Mibvunzo yakajairika yevarwere nezve nerve blocks. (Kune Varwere, Nyaya. med.stanford.edu/ra-apm/for-patients/nerve-block-questions.html
by Dr Alex Jimenez Nerve Injury , Neuropathy
Vanhu vanoonekwa vaine peripheral neuropathy, kana nediki fiber neuropathy, vanogona kunzwisisa zviratidzo uye zvinokonzeresa rubatsiro neangangove marapirwo?
Diki Fiber Neuropathy
Diki fiber neuropathy imhando chaiyo yeuropathy, sezvo kune marudzi akasiyana, ari kukuvara kwetsinga, kukuvara, chirwere, uye / kana kusashanda. Zviratidzo zvinogona kukonzera kurwadziwa, kurasikirwa kwekunzwa, uye zviratidzo zvekugaya uye weti. Zviitiko zvakawanda zveuropathy senge peripheral neuropathy zvinosanganisira madiki uye makuru fiber . Zvikonzero zvinowanzoitika zvinosanganisira chirwere cheshuga chenguva refu, kushomeka kwekudya, kunwa doro, uye chemotherapy.
Diki fiber neuropathy inoonekwa mushure mekuongororwa kwekuongorora kunoratidza zviri pachena kuti diki tsinga fibers inobatanidzwa.
Iwo madiki tsinga fiber anoona kunzwa, tembiricha, uye kurwadziwa uye anobatsira kudzora mabasa asingadi.
Isolated diki-fiber neuropathy haiwanzo, asi tsvakiridzo irikuenderera mberi parudzi rwekukuvara kwetsinga uye kurapwa kunokwanisa. (Stephen A. Johnson, nevamwe, 2021 )
Diki fiber neuropathy haina njodzi chaiyo asi chiratidzo/chiratidzo chechikonzero chechikonzero/mamiriro ari kukanganisa tsinga dzemuviri.
zviratidzo
Zviratidzo zvinosanganisira: (Heidrun H. Krämer, nevamwe, 2023 )
Marwadzo - zviratidzo zvinogona kubva kune zvinyoro kana zvine mwero kusagadzikana kusvika pakushungurudzika kwakanyanya uye zvinogona kuitika chero nguva.
Kurasikirwa kwekunzwa.
Nekuti tsinga diki dzinobatsira nekugaya, BP, uye kudzora dundira - zviratidzo zve autonomic dysfunction zvinogona kusiyana uye zvinogona kusanganisira:
Kuvhara, manyoka, kusagadzikana, kuchengetedza weti - kusakwanisa kubvisa zvachose dundira.
Kana paine kufambira mberi kwekukuvara kwetsinga, kusimba kwemarwadzo kunogona kuderera, asi kurasikirwa kwekunzwa kwakajairwa uye zviratidzo zvekuzvimirira zvinogona kuwedzera. (Josef Finsterer, Fulvio A. Scorza. 2022 )
Hypersensitivity kunobata uye kunzwa kurwadziwa kunogona kukonzera marwadzo pasina chinokonzera.
Kurasikirwa kwekunzwa kunogona kuita kuti vanhu vatadze kunyatsoona manzwiro ekubata, tembiricha, uye kurwadziwa munzvimbo dzakakanganiswa, izvo zvinogona kutungamirira kumhando dzakasiyana dzekukuvara.
Kunyange zvazvo tsvakurudzo yakawedzerwa ichidiwa, mamwe matambudziko asina kuonekwa neuropathies angave ane zviduku zvefiber neuropathy zvinobatanidzwa.
Imwe ongororo yakaratidza kuti neurogenic rosacea, mamiriro eganda, anogona kunge aine zvimwe zvinhu zvediki fiber neuropathy. (Min Li, et al., 2023 )
Diki Nerve Fibers
Kune marudzi akati wandei etsinga diki; maviri mudiki faibha neuropathy anosanganisira A-delta uye C. (Josef Finsterer, Fulvio A. Scorza. 2022 )
Aya madiki tsinga fiber akagoverwa mumuviri wese kusanganisira kumusoro kweminwe nezvigunwe, hunde, uye nhengo dzemukati.
Fiber idzi dzinowanzowanikwa munzvimbo dzepamusoro dzemuviri, sepadyo nepamusoro peganda. (Mohammad A. Khoshnoodi, et al., 2016 )
Idzo tsinga diki dzetsinga dzinokuvara dzinobatanidzwa mukufambisa marwadzo uye tembiricha sensations.
Tsinga zhinji dzine rudzi rwakakosha rwekusunga inonzi myelin inodzidzivirira uye inowedzera kumhanya kwetsinga.
Mitsipa midiki inogona kunge iine sheath yakatetepa, ichiita kuti iwedzere kukuvara uye kukuvara panguva dzekutanga mamiriro uye zvirwere. (Heidrun H. Krämer, nevamwe, 2023 )
Vanhu Panjodzi
Mhando dzakawanda dzeperipheral neuropathy dzinokonzera kukanganisa kune diki uye hombe peripheral nerve fibers. Nekuda kweizvi, mazhinji neuropathies musanganiswa wediki-fiber uye yakakura-fiber neuropathy. Zvinowanzoitika panjodzi dzekusanganiswa fiber neuropathy dzinosanganisira: (Stephen A. Johnson, nevamwe, 2021 )
chirwere cheshuga
Kusakwana kwezvokudya
Kunyanya kunwa doro
Zvimwe zvinetso zvekudzivirira
Mushonga toxicity
Isolated diki-fiber neuropathy haiwanzo, asi kune mamiriro anozivikanwa anobatsira kune chikonzero uye anosanganisira: (Stephen A. Johnson, nevamwe, 2021 )
Sjogren Syndrome
Iyi autoimmune disorder inokonzera kuoma kwemaziso nemuromo, matambudziko emazino, uye kurwadziwa kwemajoini.
Inogonawo kukonzera kukuvara kwetsinga mumuviri wese.
Fabry Chirwere
Ichi chiitiko chinokonzeresa kuunganidzwa kwemamwe mafuta / lipids mumuviri izvo zvinogona kutungamira kune neurological mhedzisiro.
Amyloidosis
Ichi chirwere chisingawanzoitiki chinokonzera kuunganidzwa kwemapuroteni mumuviri.
Mapuroteni anogona kukuvadza matishu semoyo kana tsinga.
Lewy Body Disease
Ichi chirwere chetsinga chinokonzera dementia uye kusafamba zvakanaka uye chinogona kukonzera kukuvara kwetsinga.
Lupus
Ichi chirwere che autoimmune chinokanganisa majoini, ganda, uye dzimwe nguva nerve tishu.
Utachiona hwehutachiona
Zvirwere izvi zvinowanzokonzera kutonhora kana gastrointestinal / GI kugumbuka.
Kashoma kazhinji vanogona kukonzera zvimwe zvinokonzeresa sediki fiber neuropathy.
Aya mamiriro akaonekwa achikonzeresa diki-fiber neuropathy kana kutanga sediki-fiber neuropathy isati yafambira mberi kune yakakura nerve fiber. Vanogonawo kutanga semusanganiswa weuropathy, nediki uye huru fiber.
Kufambira mberi
Kazhinji kukuvadzwa kunowedzera pamwero wepakati, zvichiita kuti uwedzere zviratidzo mukati memwedzi kana makore. Iyo fiber nerve inobatwa neiyo iri pasi pemamiriro anowanzo derera zvishoma nezvishoma, zvisinei kuti ari kupi. (Mohammad A. Khoshnoodi, et al., 2016 ) Mishonga inogona kubatsira kuderedza kukuvadza kune peripheral nerves. Kune vanhu vanoonekwa padanho rekutanga, zvinokwanisika kumisa kufambira mberi, uye zvinogona kudzivirira kubatanidzwa kwemafibhi makuru.
Mishonga
Kurapa kudzivirira kufambira mberi kunoda kudzora mamiriro ekurapa ari pasi nemaitiro ekurapa zvichienderana nechikonzero. Mishonga inogona kubatsira kudzivirira kufambira mberi inosanganisira:
Kudzora shuga yeropa kune vanhu vane chirwere cheshuga.
Nutritional supplementation kuitira kurapwa kwekushaya vhitamini.Kurega kunwa doro.
Kudzivirirwa kwekudzivirira kwekudzivirira kwezvirwere zve autoimmune.
Plasmapheresis - ropa rinotorwa uye plasma inorapwa uye inodzoserwa kana kuchinjana kuitira kurapwa kwezvirwere zve autoimmune.
Symptom Treatment
Vanhu vanogona kuwana kurapwa kwezviratidzo zvisingadzose kana kurapa mamiriro acho asi zvinogona kubatsira nekuzorora kwenguva pfupi. Symptomatic kurapwa inogona kusanganisira: (Josef Finsterer, Fulvio A. Scorza. 2022 )
Pain management inogona kusanganisira mishonga uye/kana topical analgesics.
Physical therapy - kutambanudza, masaja, decompression, uye kugadzirisa kuti muviri ugare wakasununguka uye uchichinjika.
Kugadziriswa kwekubatsira kuvandudza kurongeka, izvo zvinogona kukanganisa nekurasikirwa kwekunzwa.
Mishonga yekubvisa zviratidzo zveGI.
Kupfeka zvipfeko zvehunyanzvi senge neuropathy masokisi kubatsira nemarwadzo etsoka zviratidzo.
Kurapa uye kurapa kweuropathies kazhinji kunosanganisira chiremba wetsinga. Chiremba wetsinga anogona kupa mushonga wekubatsira kuderedza zviratidzo zvekurwadziwa uye kupa kupindira mune zvekurapa senge immunotherapy kana paine kunetsekana kuti autoimmune process inogona kunge iri chikonzero. Pamusoro pezvo, kurapwa kunogona kusanganisira kuchengetwa kwemushonga wepanyama uye chiremba wekudzoreredza kana timu yekurapa muviri kuti ipe matambara uye maekisesaizi kubatsira kusimbisa muviri uye kuchengetedza kufamba uye kuchinjika.
VIDEO
References
Johnson, SA, Shouman, K., Shelly, S., Sandroni, P., Berini, SE, Dyck, PJB, Hoffman, EM, Mandrekar, J., Niu, Z., Lamb, CJ, Low, PA, Singer , W., Mauermann, ML, Mills, J., Dubey, D., Staff, NP, & Klein, CJ (2021). Diki Fiber Neuropathy Chiitiko, Kuwanda, Kukanganisa Kwenguva refu, uye Kuremara. Neurology, 97(22), e2236–e2247. doi.org/10.1212/WNL.0000000000012894
Finsterer, J., & Scorza, FA (2022). Diki fiber neuropathy. Acta neurologica Scandinavica, 145 (5), 493-503. doi.org/10.1111/ane.13591
Krämer, HH, Bücker, P., Jeibmann, A., Richter, H., Rosenbohm, A., Jeske, J., Baka, P., Geber, C., Wassenberg, M., Fangerau, T., Karst , U., Schänzer, A., & van Thriel, C. (2023). Gadolinium kusiyanisa vamiririri: dermal deposits uye zvinogona kuitika pane epidermal diki nerve fibers. Nyaya yeNeurology, 270 (8), 3981-3991. doi.org/10.1007/s00415-023-11740-z
Li, M., Tao, M., Zhang, Y., Pan, R., Gu, D., & Xu, Y. (2023). Neurogenic rosacea inogona kunge iri diki fiber neuropathy. Miganho mukutsvaga marwadzo (Lausanne, Switzerland), 4, 1122134. doi.org/10.3389/fpain.2023.1122134
Khoshnoodi, MA, Truelove, S., Burakgazi, A., Hoke, A., Mammen, AL, & Polydefkis, M. (2016). Longitudinal Assessment yeDiki Fiber Neuropathy: Uchapupu hweIsina-Length-Dependent Distal Axonopathy. JAMA neurology, 73 (6), 684-690. doi.org/10.1001/jamaneurol.2016.0057
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Nerve Injury , Neuropathy , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
ziviso
The central nerve system ine basa rekutumira masaini neuron kunhengo dzese uye tsandanyama dziri mumuviri, zvichibvumira kufamba uye kushanda zvakanaka. Aya masaini anogara achichinjana pakati penhengo, tsandanyama, uye ubongo , vachizivisa nezvemabasa avo. Nekudaro, zvakatipoteredza zvinhu uye kukuvadzwa kunorwadza kunogona kukanganisa midzi yetsinga, kukanganisa kuyerera kwezviratidzo uye zvinotungamira musculoskeletal kusagadzikana . Izvi zvinogona kuguma nekusawirirana mumuviri uye kurwadziwa kusingaperi kana kukasara. Chinyorwa chanhasi chichatizivisa nezve peripheral neuropathy, kukuvara kwetsinga kwakabatana nekurwadziwa kwemusana, uye kuti kudzungudza kwemusana kunogona sei kugadzirisa chirwere ichi. Isu tinoshanda nevarapi vane hunyanzvi vanoshandisa ruzivo rwakakosha rwevarwere kuti vape kurapwa kusiri kuvhiyiwa, kusanganisira kuderera kwepelinha, kuti vabvise marwadzo-sezviratidzo zvine chekuita neperipheral neuropathy. Tinokurudzira varwere kubvunza mibvunzo yakakosha uye kutsvaga dzidzo nezvemamiriro avo. Dr. Jimenez, DC, anopa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Chii chinonzi Peripheral Neuropathy?
Peripheral neuropathy inoreva huwandu hwemamiriro anokanganisa midzi yetsinga uye anogona kukonzera zviratidzo zvisingaperi mumuviri wese, se. zvidzidzo zvekutsvaga zvakaratidzwa . Masero etsinga ari mumuviri wedu anofambisa mashoko pakati pehuropi nedzimwe nhengo dzemuviri. Kana masero aya akakuvadzwa, anogona kukanganisa kutaurirana pakati pepakati tsinga system, zvichitungamira kune matambudziko emhasuru uye nhengo. Zvidzidzo zvakabatana peripheral neuropathy kumarwadzo uye zvimwe zviratidzo, izvo zvinogona kuva nemigumisiro yakaipa pamabasa ezuva nezuva, hupenyu hwehupenyu, uye hutano hwepfungwa uye hwemuviri. Uyezve, peripheral neuropathy inogona kuwedzera njodzi yekudonha.
Sei Peripheral Neuropathy Inopindirana NeKurwadza Kwemusana
Wakambonzwa here munguva pfupi yapfuura kana kurira kana kupinza manyawi pawakatsika kana kunzwa kurwadziwa kunogara kumusana? Zviratidzo izvi zvinogona kunge zvine chekuita neperipheral neuropathy, izvo zvinogona kukonzera kurwadziwa kumashure. “The Ultimate Spinal Decompression,” bhuku rakanyorwa naDr. Perry Bard, DC naDr. Eric Kaplan, DC, FIAMA, rinotsanangura kuti peripheral neuropathy kukuvara kwetsinga dzinokanganisa makumbo, zvichiita kuti chiveve, kurwadziwa, kurira, uye kunyanya kunzwisiswa pakubata. zvigunwe netsoka. Izvi zvinogona kukonzera mhasuru dziri muzasi kumashure kuti dzishandure uremu kure nenzvimbo dzinorwadza, zvichitungamira kumarwadzo emusana. Zvidzidzo zvekutsvaga zvakaratidza iyo isingaperi kurwadziwa kwepashure kunogona kusanganisira zvose nociceptive uye neuropathic pain mechanisms. Nociceptive marwadzo ndeyekupindura kune kukuvara kwetishu kunobata misumbu. Kusiyana neizvi, kurwadziwa kweuropathic kunokanganisa midzi yetsinga kubva kumusana uye nemakumbo ezasi, kazhinji inokonzerwa nekukuvara kwespinal discs. Neraki, kune nzira dzekugadzirisa peripheral neuropathy uye yakabatana nemarwadzo ekumusana.
VIDEO
Peripheral neuropathy kukuvara kwetsinga inobata vanhu zvakasiyana uye inogona kukonzera zviratidzo zvekunzwa mukati mepamusoro uye pasi pemuviri. Avo vane peripheral neuropathy vanogona kunzwa kurwadziwa nguva dzose mumigumo yavo, izvo zvinogona kutungamirira kumubhadharo mune dzimwe tsandanyama uye musana wemusana. Izvi zvinogona kuguma nekusingaperi musculoskeletal mamiriro. Studies inoratidza kuti peripheral neuropathy, kunyanya panguva yekurwadziwa kwemusana, inogona kukonzera kusashanda muuropi modulatory system, zvichitungamira kune njodzi dzinopfuura uye kusashanda zvakanaka. Zvisinei, kurapa kwakasiyana-siyana kunowanikwa kudzorera muviri uye kuderedza marwadzo europathic, kusanganisira chiropractic kuchengetedza uye kupera kwemusana. Vhidhiyo iri pamusoro inotsanangura mamwe mashoko pamusoro pekuti marapirwo aya anogona kubatsira sei kuderedza marwadzo europathic uye kusunungura muviri kubva mukuderera.
Spinal Decompression Inoderedza Peripheral Neuropathy
Peripheral neuropathy inogona kukonzera marwadzo mazhinji, uye vanhu vazhinji vanofunga kuvhiya kuti varape. Nekudaro, izvi zvinogona kudhura, saka vamwe vanhu vanosarudza kurapwa kusiri kwekuvhiya senge spinal decompression uye chiropractic kuchengetedza. Dzidzo dzakaratidza kuti kupera kwepelinha kunogona kubatsira zvakanyanya mukubvisa kusungwa kwetsinga nekuvandudza zviratidzo zvinorwadza kumashure. Iyo yakachengeteka uye yakapfava kurapa iyo inoshandisa traction kubatsira musana kudzoka panzvimbo yayo uye kubvumira mvura uye zvinovaka muviri kuti zviyerere zvakare mukati. Kubatanidza kuparara kwemusana nemamwe marapirwo kunogona kubatsirawo kuderedza peripheral neuropathy zviratidzo, kuvandudza hupenyu hwevanhu uye kuvabatsira kuti vave. kunyanya kurangarira miviri yavo.
mhedziso
Peripheral neuropathy mamiriro ezvinhu anokonzerwa nekukuvara kwetsinga uye anogona kukanganisa zvose kumusoro uye pasi pemuviri. Chirwere ichi chinogona kukonzera zviratidzo zvekunzwa izvo zvinogona kutungamirira kune musculoskeletal mamiriro, musana wemusana, uye kuremara. Marwadzo uye kusagadzikana zvinowanzoitika kune avo vane chirwere ichi, izvo zvinogona kukanganisa hupenyu hwavo hwezuva nezuva. Neraki, decompression yemuzongoza inogona kubatsira kuderedza mhedzisiro yeperipheral neuropathy nekutambanudza zvinyoro nyoro musana, kusunungura tsinga dzakasungwa, uye kugadzirisa subluxation. Mishonga iyi yakachengeteka, haipindiki, uye inogona kuiswa muurongwa hwehutano hwemunhu.
References
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Disclaimer
by Dr Alex Jimenez Neuropathy , Spine Care
Sevanhu, kune zvakasiyana-siyana zvinoshungurudza zvinosangana zuva nezuva. Kushushikana kunoungana munzvimbo dzakasiyana dzemuviri, kazhinji kumusana, shaya, uye tsandanyama dzemutsipa. Kushungurudzika kunoita kuti tsandanyama dzibatane. Iyo yakavakirwa-kunetsekana kunogona kuita kuti mapfupa emusana abve kunze kwekurongeka, achitsamwisa mitsipa pakati pemapfupa emusana. Kutenderera kunotanga sezvo kuwedzera kwetsinga kunokonzeresa kuti tsandanyama dzirambe dzichibatana/kuomesa. Iyo yakawedzera tsandanyama tension inoramba ichikwevera mapfupa emusana kubva pakurongeka, zvichiita kuti musana wakaoma uye usanyanya kushanduka unokanganisa kumira, kuenzanisa, kuwirirana, uye kufamba, zvichiita kuti musana uwedzere kusagadzikana. Chiropractic kurapwa panguva dzenguva dzose inokurudzirwa kubatsira kugadzirisa uye kuchengetedza nzvimbo yakakodzera.
Mitsipa iri mumuviri yakanyatsobatanidzwa nemuzongoza, uye kukanganisa kudiki mukurongeka kunogona kukonzera tsinga kuti dziite zvisirizvo uye kusashanda zvakanaka. Kana musana wabuda mukurongeka, tsinga / uropi uye tsinga zvinonamira mukushushikana kana kushushikana. Kunyangwe kusarongeka kudiki kunogona kukonzera nhevedzano yezviratidzo zvekusagadzikana kufamba mumuviri wese.
Zvinokonzera
Zvikonzero zvekusarongeka zvinokonzeresa kusawirirana mutsinga nemamhasuru zvinosanganisira:
Kukuvara kwakapfuura.
Kurara kusina kunaka.
Kushungurudzika - mupfungwa uye mumuviri.
Mabasa anorema.
Kuwedzeredza.
Kugara pasi.
Mamiriro etsoka nematambudziko.
Madyiro asina kunaka.
Kunyanya kufuta.
Chronic kuzvimba .
Arthritis.
Chiropractic Treatment
Chiropractic maitiro ekuongorora:
Palpation
A chiropractor achanzwa / papalpate musana kuti aone kana mapfupa ari mukuenzanisa, kufamba zvakanaka, kana kuti kunze kwekugadzirisa uye kusafamba zvakanaka kana kufamba zvachose.
Posture Exam
Kana musoro, mapfudzi, uye mahudyu zvisina kuenzana kana kuti mapfudzi nemusoro zviri kudhonzera mberi, mapfupa emuzongoza anenge asisina kurongeka/subluxations.
Kuenzanisa uye Kubatana
Hutano husina kunaka uye kurongeka zvinogona kuratidza kuti uropi, tsinga, uye tsandanyama zviri kutadza kushanda zvakanaka nemusana.
Range of Motion
Kurasikirwa kwepinal movement flexibility kunogona kuratidza kushushikana mutsinga, mhasuru, uye misalignments.
Muscle Test
Kurasikirwa kwesimba mumhasuru kunogona kuratidza masaini etsinga haana simba.
Miedzo yeOrthopedic
Miedzo inoisa muviri munzvimbo dzinoshungurudza inotarisa pane izvo tishu / s zvinogona kukuvara uye zvikonzero.
X-rays
X-rays inotarisa zvisizvo, kupatsanurwa, kuwanda kwemapfupa, kutyoka, kukuvara kwakavanzika / kusingaonekwe, uye hutachiona.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki kupa zvirongwa zvekurapa zvemunhu. Aya marapirwo chaiwo anogadzirwa kuti abudise mabhenefiti emuzongoza kwenguva refu. Spinal manipulation, deep tissue massage, MET , uye mamwe maitiro ekurapa kwemaoko, akabatanidzwa nekurovedza muviri, anobatsira kuita kuti mapfupa afambe zvakanaka, mhasuru dzichishanda zvakanaka, uye musana unodzokera muchimiro chakakodzera. Kurapa kunobvisa tsinga dzetsandanyama, kudhonzerana, uye kusashanda zvakanaka kwemajoini, kunowedzera kutenderera, uye kunodzidzisazve tsandanyama kuti dzirambe dzakasununguka.
Nzira Yakasikwa Yokuporesa
VIDEO
References
Ando, Kei et al. "Kusagadzikana kwemuzongoza muvakadzi vane kufutisa: Chidzidzo cheYakumo." Chinyorwa cheOrthopedics vol. 21 512-516. 16 Sep. 2020, doi:10.1016/j.jor.2020.09.006
Le Huec, JC nevamwe. "Sagittal balance yemusana." The European spine magazine: kuburitswa kwepamutemo kweEuropean Spine Society, European Spinal Deformity Society, uye European Section yeCervical Spine Research Society vol. 28,9 (2019): 1889-1905. doi:10.1007/s00586-019-06083-1
Meeker, William C, naScott Haldeman. "Chiropractic: inyanzvi pamharadzano yemishonga yakawanda uye imwe nzira." Annals of internal medicine vol. 136,3 (2002): 216-27. doi:10.7326/0003-4819-136-3-200202050-00010
Oakley, Paul A et al. "X-Ray Imaging Inokosha kune Contemporary Chiropractic uye Manual Therapy Spinal Rehabilitation: Radiography Inowedzera Mabhenefiti uye Inoderedza Njodzi." Dose-mhinduro: chinyorwa cheInternational Hormesis Society vol. 16,2 1559325818781437. 19 Jun. 2018, doi:10.1177/1559325818781437
Shah, Anoli A, nevamwe. "Spinal Balance / Alignment - Clinical Relevance uye Biomechanics." Nyaya ye biomechanical engineering, 10.1115 / 1.4043650. 2 Chivabvu. 2019, doi:10.1115/1.4043650
by Dr Alex Jimenez Injury Care , Neuropathy
Vanhu vanobata nemabvi anorwadza ndechimwe chezvinetso zvehutano zvakanyanya uye zvinobata vanhu vemazera ose. Ibvi ndiro rakabatana rakakura kwazvo mumuviri, rinosanganisira tsandanyama, tendon, ligaments, cartilage, uye mapfupa. Mabvi anotsigira kufamba, kumira, kumhanya, uye kunyange kugara. Kushandisa nguva dzose kunoita kuti zvive nyore kukuvara nemamiriro ezvinhu. Mabvi zvakare akakomberedzwa netambo yakaoma ye nerve iyo inotumira mameseji kuenda nekubva kuuropi. Kukuvadzwa kwetsinga kubva mukukuvadzwa kana chirwere kunogona kugadzira zviratidzo zvakasiyana-siyana zvekusagadzikana mukati uye kumativi emabvi akabatanidzwa.
Knee Neuropathy
Zvinokonzera
Zviratidzo zvekusagadzikana kwebvi zvinogona kuunzwa nekukuvara, degenerative disorders , arthritis, utachiona, uye zvimwe zvikonzero, zvinosanganisira:
Rheumatoid chearthritis
Ichi chirwere chisingaperi chinoputika chinoita kuti mabvi awedzere uye anokonzera kukuvadza kune cartilage.
Osteoarthritis
Mhando iyi yeArthritis inokonzera kuti cartilage irambe ichipera, ichikonzera kukanganisa kumajoini uye zviratidzo zvakasiyana.
Cartilage Nyaya
Kushandisa zvakanyanya, kushaya simba kwemhasuru, kukuvadzwa, uye kusarongeka kunogona kukonzera kudzorera zvimiro uye mafambiro anogona kupera uye kupfavisa shwashwa, zvichiita zviratidzo.
Zvinhu zvakawanda zvinogona kuwedzera njodzi yekuvandudza mabvi neuropathy, kusanganisira:
Kukuvara kwebvi kwapfuura
Kukuvara kwebvi kusina kuonekwa uye kusina kurapwa
Huremu Husina Utano
Gout
Kukanganisa simba retsandanyama yegumbo uye/kana kusanduka
zviratidzo
Zviratidzo zvinosangana nekukuvara kwemabvi kana kusagadzikana zvinogona kusiyana, zvichienderana nekuoma uye kukanganisa. Zviratidzo zvinogona kusanganisira:
Kuomarara kwakabatana
Kuzvimba mujoini.
Kuderera kwekufamba / kushanduka mumubatanidzwa.
Kuwedzera kusagadzikana / kunzwa kwekushaya simba mumabvi.
Shanduko dzeganda reganda rakatenderedza mabvi akabatana, sekuwedzera kutsvuka kana kucheneruka.
Chiveve, kutonhora, kana kurira mukati uye / kana kumativi ejoini.
Zviratidzo zvekurwadziwa zvinogona kuve kurwadza kusinganzwisisike kana kurohwa kwakanzwika mumabvi ese.
Yakapinza, kubaya kusagadzikana munzvimbo yakati.
Kana ikasiyiwa isina kurapwa, mabvi neuropathy anogona kukanganisa zvachose kukwanisa kufamba uye kutungamirira kune chikamu kana kurasikirwa zvachose kwemabvi kushanda uye kufamba. Vanachiremba vanokurudzira kucherechedza zvinotevera:
Ndechipi chiitiko/chii chinopa zviratidzo?
Zviratidzo zviri kupi?
Marwadzo acho anonzwa sei?
Mishonga iripo yekurwadziwa kwemabvi
Chiropractic treatment inopa nzira dzakasiyana-siyana dzekugadzirisa marwadzo anokonzerwa nekukuvara kwetsinga.
Kugadziriswa Kwekukuvara Kwemabvi
VIDEO
References
Edmonds, Michael, et al. "Mutoro wazvino wechirwere cheshuga chetsoka." Chinyorwa chekiriniki orthopedics uye trauma vol. 17 88-93. 8 Kukadzi 2021, doi:10.1016/j.jcot.2021.01.017
Hawk, Cheryl, nevamwe. "Zviitiko Zvakanakisisa zveChiropractic Management yeVarwere vane Chronic Musculoskeletal Pain: A Clinical Practice Guideline." Chinyorwa cheimwe nzira uye yekuwedzera mushonga (New York, NY) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181
Hunter, David J et al. "Kubudirira kwemuenzaniso mutsva wekutarisira kwekutanga pamarwadzo emabvi uye kushanda kune varwere vane mabvi osteoarthritis: Protocol for THE PARTNER STUDY." BMC musculoskeletal disorders vol. 19,1 132. 30 Kubvumbi 2018, doi:10.1186/s12891-018-2048-0
Kidd, Vasco Deon, nevamwe. "Genicular Nerve Radiofrequency Ablation yePainful Knee Arthritis: Chikonzero uye Sei." JBJS nzira dzakakosha dzekuvhiya vol. 9,1 e10. 13 Kurume 2019, doi:10.2106/JBJS.ST.18.00016
Krishnan, Yamini, uye Alan J Grodzinsky. "Zvirwere zveCartilage." Matrix biology: bhuku reInternational Society for Matrix Biology vol. 71-72 (2018): 51-69. doi:10.1016/j.matbio.2018.05.005
Speelziek, Scott JA, nevamwe. "Clinical spectrum yeuropathy mushure mekutanga kwemabvi arthroplasty: Mutsara we54 kesi." Tsandanyama & tsinga vol. 59,6 (2019): 679-682. doi:10.1002/mus.26473
Nei Muzongoza Uchienda Kunze Kwekurongeka
